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Late Thrombosis Affecting One Limb of Aortic Bifurcation Graft

Late Thrombosis Affecting One Limb of Aortic Bifurcation Graft Abstract Late unilateral limb thrombosis was encountered in 45 of 601 patients discharged from the hospital with functioning aortic bifurcation grafts, an incidence of 7.5%. It was invariably associated with clinical manifestations of arterial insufficiency to the affected limb more serious than those of the extremity prior to the initial operation. Although the specific cause could not be determined, it was usually due to either progression of the disease distal to the reconstructed segment or to certain compromises at the time of the first operation or both. Among several procedures employed, unilateral reconstruction of the thrombosed limb is the procedure of choice. The reoperation was successful in 75% of the patients. References 1. Javid H, Julian OC, Dye WS, et al: Complications of abdominal aortic grafts . Arch Surg 85:650-662, 1962.Crossref 2. Najafi H, Javid H, Dye WS, et al: Management of infected arterial implants . Surgery 65:539-547, 1969. 3. Bartos J, Vancura J, Tersip K: Early and late thrombosis of prostheses implanted in the aorto-iliac region: Treatment and prevention . J Cardiovasc Surg 12:19-24, 1971. 4. Crawford ES, DeBakey ME, Morris GC, et al: Evaluation of late failures after reconstructive operations for occlusive lesions of the aorta and iliac, femoral, and popliteal arteries . Surgery 47:79-104, 1960. 5. Wesolowski SA, Fries CC, Hennigar G, et al: Factors contributing to long-term failures in human vascular prosthetic grafts . J Cardiovasc Surg 5:544-567, 1964. 6. Szilagyi DE: Ten years' experience with aorto-iliac and femoro-popliteal arterial reconstruction . J Cardiovasc Surg 5:502-508, 1964. 7. Gomes MR, Bernatz PE, Juergens JL: Aortoiliac surgery: Influence of clinical factors on results . Arch Surg 95:387-394, 1967.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360100051010
Publisher site
See Article on Publisher Site

Abstract

Abstract Late unilateral limb thrombosis was encountered in 45 of 601 patients discharged from the hospital with functioning aortic bifurcation grafts, an incidence of 7.5%. It was invariably associated with clinical manifestations of arterial insufficiency to the affected limb more serious than those of the extremity prior to the initial operation. Although the specific cause could not be determined, it was usually due to either progression of the disease distal to the reconstructed segment or to certain compromises at the time of the first operation or both. Among several procedures employed, unilateral reconstruction of the thrombosed limb is the procedure of choice. The reoperation was successful in 75% of the patients. References 1. Javid H, Julian OC, Dye WS, et al: Complications of abdominal aortic grafts . Arch Surg 85:650-662, 1962.Crossref 2. Najafi H, Javid H, Dye WS, et al: Management of infected arterial implants . Surgery 65:539-547, 1969. 3. Bartos J, Vancura J, Tersip K: Early and late thrombosis of prostheses implanted in the aorto-iliac region: Treatment and prevention . J Cardiovasc Surg 12:19-24, 1971. 4. Crawford ES, DeBakey ME, Morris GC, et al: Evaluation of late failures after reconstructive operations for occlusive lesions of the aorta and iliac, femoral, and popliteal arteries . Surgery 47:79-104, 1960. 5. Wesolowski SA, Fries CC, Hennigar G, et al: Factors contributing to long-term failures in human vascular prosthetic grafts . J Cardiovasc Surg 5:544-567, 1964. 6. Szilagyi DE: Ten years' experience with aorto-iliac and femoro-popliteal arterial reconstruction . J Cardiovasc Surg 5:502-508, 1964. 7. Gomes MR, Bernatz PE, Juergens JL: Aortoiliac surgery: Influence of clinical factors on results . Arch Surg 95:387-394, 1967.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1975

References